For a list of the Community Action Agencies in your area, click
here.
Welcome to the 2023-2024 Low Income Energy Assistance Program (LIHEAP)
There are two ways to use this site.
Option 1:
Eligible applicants may complete a LIHEAP application at this site, then print it out and mail it in. To find the appropriate address for your application, click
here.
Option 2:
You may submit a completed application online if you have electronic versions (scanned and/or digital) of the following items:
Heat bills
Electric bills
Income verification for all income sources
Social security card/number verification for members new to your household this year
To determine if you are eligible to apply at this website, click Next.
Not Accepting Online Applications
We are no longer taking applications for the Low Income Home Energy Assistance Program (LIHEAP). Please contact your community action agency if you have an emergency situation. For a list of the agencies in your area, click
here.
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New Member Entry
First name:
Required
Last name:
Required
Middle initial:
Social security # or I-94#:
Required
Date of birth:
Required
Sex:
<--Select-->
Male
Female
Other
Required
Origin:
Hispanic/Latino/Spanish
Race:
<--Select-->
Black or African American
White
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Multi-race(any 2 or more of above)
Other
Unknown
Required
Relation:
<--Select-->
Head of household
Spouse
Child
Foster child
Grandchild
Parent
Grandparent
Other relation
Not related
Sibling
Required
Education:
<--Select-->
0-8th grade
9th-12th grade (non grad)
High school grad/GED
12+/some post secondary
2 or 4 year college grad
Graduate of other post-secondary school
Required
Marital status:
<--Select-->
Single
Married
Separated
Divorced
Widowed
Required
Disabilities:
<--Select-->
None
Mental
Hearing
Deaf
Speech
Visual
Emotional
Orthopedic
Other
Unknown
Required
Employment:
<--Select-->
Full time
Part time
Migrant seasonal
Unemployed - 6 months or less
Unemployed - 6 months plus
Unemployed - not in labor force
Retired
Contract
Temporary
13 years or younger
Unknown/not reported
Required
Medical insurance:
<--Select-->
Medicaid
Medicare
State CHIP
State Insurance for Adults
Military
Direct purchase
Employment based
Unknown/not reported
No health insurance
Indian Health Insurance
Required
CARES Stimulis Benefit:
<--Select-->
Yes
No
Required
Expanded CARES UI Bonus:
<--Select-->
Yes
No
Required
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